Author + information
- Sean R. Wilson, MD⁎ (, )
- Michael M. Givertz, MD,
- Garrick C. Stewart, MD and
- Gilbert H. Mudge Jr., MD
- ↵⁎New York Presbyterian Hospital, Cornell Greenberg Division of Cardiology, 520 East 70th Street, Starr-434 Pavilion, New York, New York 10021
We thank Dr. King and colleagues for their interest in our report (1) and endorse their recommendations regarding physical therapy and rehabilitation for ventricular assist device (VAD) patients. As the number of patients implanted with a VAD increases and as they transition back into their local communities, it is imperative that there is an increased awareness and knowledge of this unique patient population. We strongly agree that cardiologists and heart failure specialists in particular need to reach out and develop a collaborative relationship with cardiac rehabilitation programs in the development and implementation of an optimal environment for the recovery of VAD patients. Although no large-scale trials have been performed to date, many VAD patients are debilitated after surgery and, like those individuals after cardiac transplantation, will benefit from an exercise rehabilitation program incorporating both muscular-strength and aerobic training (2). Additional benefits of a strong multidisciplinary program include education regarding nutrition and weight loss, lipid management, and smoking cessation as well as the positive reinforcement that comes from meeting others living with cardiovascular disease.
- American College of Cardiology Foundation